| NPI | 1013784933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DGURA DAVIDOV Authorized Official 929-584-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |